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Dr. Chanchamma Thannikkary, MD
Radiation Oncology Physician in Roanoke Rapids, North Carolina
NPI 1881654085

Chanchamma Thannikkary is a Radiation Oncology Physician based in Fort Myers, NC and is specialized in Radiation Oncology. Chanchamma Thannikkary practices in Roanoke Rapids, NC and has the professional credentials of MD. The NPI Number for Chanchamma Thannikkary is 1881654085 and holds a License No. 32057 (North Carolina).

The current practice location address for Chanchamma Thannikkary is 212 Smith Church Rd, Roanoke Rapids, NC and can be reached out via phone at 252-537-1717 and via fax at 252-537-1366.

Location: 212 Smith Church Rd, Roanoke Rapids, NC, 33907-1412
person
Provider Profile Details
NPI Number
1881654085
Provider Name
Chanchamma Thannikkary
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
212 Smith Church Rd, Roanoke Rapids, NC, 33907-1412
Phone Number
252-537-1717
Fax Number
252-537-1366
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01269393 01 NC RAILROAD MCR
1881654085 05 NC
3722179 01 NC CIGNA
5760043 01 NC AETNA
1881654085 05 VA
8982452 05 NC
institution
Provider Business Practice Location Address Details
Address
212 Smith Church Rd
City
State
Zip
27870-4914
Phone Number
252-537-1717
Fax Number
252-537-1366
person
Provider Business Mailing Address Details
Address
212 Smith Church Rd
City
State
Zip
27870-4914
Phone Number
252-537-1717
Fax Number
252-537-1366
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
32057 (North Carolina)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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